Acute pulmonary toxicity from crack cocaine - Revision history

AMajeedQT: /* Background */

2025-07-29T18:20:12Z

Background

← Older revision		Revision as of 18:20, 29 July 2025
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	[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]		[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]
	*Also known as "crack lung"		*Also known as "crack lung"
			*Usually presents within 48 hours of crack cocaine inhalation.
	*Due to hemorrhagic alveolitis from inhalational crack cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>		*Due to hemorrhagic alveolitis from inhalational crack cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>
	**Crack cocaine vaporizes at 187°C<ref name="Devlin" />		**Crack cocaine vaporizes at 187°C<ref name="Devlin" />

Rossdonaldson1: /* Differential Diagnosis */

2024-04-24T18:47:58Z

Differential Diagnosis

← Older revision		Revision as of 18:47, 24 April 2024
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	*[[Pneumothorax]]		*[[Pneumothorax]]
	*Subcutaneous emphysema/[[pneumomediastinum]]		*Subcutaneous emphysema/[[pneumomediastinum]]

			{{Drugs of abuse types}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* See Also */

2024-04-24T18:47:24Z

Rossdonaldson1: /* Background */

2024-04-24T18:47:08Z

Background

← Older revision		Revision as of 18:47, 24 April 2024
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	==Background==		==Background==
			[[File:Rocks of crack cocaine.jpg\|thumb\|"Rocks" of crack [[cocaine]]]]
	[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]		[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]
	*Also known as "crack lung"		*Also known as "crack lung"

Rossdonaldson1: /* Background */

2024-04-24T18:39:18Z

Background

← Older revision		Revision as of 18:39, 24 April 2024
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	==Background==		==Background==
			[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]
	*Also known as "crack lung"		*Also known as "crack lung"
	*Due to hemorrhagic alveolitis from inhalational crack cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>		*Due to hemorrhagic alveolitis from inhalational crack cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>

ClaireLewis at 15:25, 11 October 2019

2019-10-11T15:25:24Z

← Older revision		Revision as of 15:25, 11 October 2019
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	==Clinical Features==		==Clinical Features==
	*Characterized by dyspnea and hypoxia after crack cocaine use<ref name="Devlin">Devlin RJ, Henry JA. Clinical review: Major consequences of illicit drug consumption. Critical Care. 2008;12(1):202. doi:10.1186/cc6166.</ref>		*Characterized by [[dyspnea]] and [[hypoxia]] after crack cocaine use<ref name="Devlin">Devlin RJ, Henry JA. Clinical review: Major consequences of illicit drug consumption. Critical Care. 2008;12(1):202. doi:10.1186/cc6166.</ref>
	*May also see:		*May also see:
	**[[Fever]]		**[[Fever]]
	**[[Hemoptysis]]		**[[Hemoptysis]]
	**Respiratory failure		**[[Respiratory failure]]
	**Pulmonary edema		**[[Pulmonary edema]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*Generally a clinical diagnosis		*Generally a clinical diagnosis
	*Consider CXR and labs		*Consider [[CXR]] and labs
	**May have eosinophilia, which suggests an immune mediated component<ref>Kissner DG.Crack lung: pulmonary disease caused by cocaine abuse. Am Rev Respir Dis. 1987;136(5):1250-2.</ref>		**May have [[eosinophilia]], which suggests an immune mediated component<ref>Kissner DG.Crack lung: pulmonary disease caused by cocaine abuse. Am Rev Respir Dis. 1987;136(5):1250-2.</ref>

	==Management==		==Management==
	*Supportive care		*Supportive care
	*Systemic corticosteroids<ref name="Devlin" />		*Systemic [[corticosteroids]]<ref name="Devlin" />

	==Disposition==		==Disposition==

Mholtz at 02:31, 24 May 2017

2017-05-24T02:31:46Z

← Older revision		Revision as of 02:31, 24 May 2017
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	==Background==		==Background==
	*Also known as "crack lung"		*Also known as "crack lung"
	*Due to hemorrhagic alveolitis from inhalational cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>		*Due to hemorrhagic alveolitis from inhalational crack cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref>
			**Crack cocaine vaporizes at 187°C<ref name="Devlin" />

	==Clinical Features==		==Clinical Features==
	*~~Most common symptoms are cough~~ and ~~shortness~~ of ~~breath~~		*Characterized by dyspnea and hypoxia after crack cocaine use<ref name="Devlin">Devlin RJ, Henry JA. Clinical review: Major consequences of illicit drug consumption. Critical Care. 2008;12(1):202. doi:10.1186/cc6166.</ref>
	*~~Others include~~:		*May also see:
	**acute lung injury		**[[Fever]]
	**[[hypoxia]]		**[[Hemoptysis]]
	**[[chest pain]]		**Respiratory failure
	**[[~~hemoptysis~~]]		**Pulmonary edema
	**[[~~fever~~]]
	**~~focal infiltrates~~
	**~~bronchospasm~~

	==Differential Diagnosis==		==Differential Diagnosis==
	*Acute pulmonary toxicity from crack cocaine (Crack lung)
	*[[Acute eosinophilic pneumonia]]		*[[Acute eosinophilic pneumonia]]
	*[[Acute respiratory distress syndrome]]		*[[Acute respiratory distress syndrome]]
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	*[[Acute coronary syndrome]]		*[[Acute coronary syndrome]]
	*[[Pneumothorax]]		*[[Pneumothorax]]
	*Subcutaneous emphysema / [[pneumomediastinum]]		*Subcutaneous emphysema/[[pneumomediastinum]]

	==Evaluation==		==Evaluation==
	*CXR		*Generally a clinical diagnosis
	*May have eosinophilia, which suggests an immune mediated component<ref>Kissner DG.Crack lung: pulmonary disease caused by cocaine abuse. Am Rev Respir Dis. 1987;136(5):1250-2.</ref>		*Consider CXR and labs
			**May have eosinophilia, which suggests an immune mediated component<ref>Kissner DG.Crack lung: pulmonary disease caused by cocaine abuse. Am Rev Respir Dis. 1987;136(5):1250-2.</ref>

	==Management==		==Management==
	*Supportive care~~, maintain oxygenation and ventilation~~		*Supportive care
			*Systemic corticosteroids<ref name="Devlin" />

	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==
	*[[Cocaine]]		*[[Cocaine]]
	*[[Cocaine toxicity]]		*[[Cocaine toxicity]]
	*[[Cocaine ~~Withdrawal~~]]		*[[Cocaine withdrawal]]

	==External Links==		==External Links==


	==References==		==References==
	<references/>		<references/>

	[[Category:Pulmonary]] [[Category:Toxicology]]		[[Category:Pulmonary]]
			[[Category:Toxicology]]

Rossdonaldson1: /* Differential Diagnosis */

2017-05-22T05:52:09Z

Differential Diagnosis

← Older revision		Revision as of 05:52, 22 May 2017
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	*[[Acute coronary syndrome]]		*[[Acute coronary syndrome]]
	*[[Pneumothorax]]		*[[Pneumothorax]]
	*Subcutaneous emphysema / pneumomediastinum		*Subcutaneous emphysema / [[pneumomediastinum]]

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2017-05-22T05:44:09Z

Differential Diagnosis

← Older revision		Revision as of 05:44, 22 May 2017
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	*[[Pneumonia]]		*[[Pneumonia]]
	*[[Acute coronary syndrome]]		*[[Acute coronary syndrome]]
			*[[Pneumothorax]]
			*Subcutaneous emphysema / pneumomediastinum

	==Evaluation==		==Evaluation==

Rossdonaldson1: Rossdonaldson1 moved page Crack lung to Acute pulmonary toxicity from crack cocaine

2017-05-22T03:20:46Z

Rossdonaldson1 moved page Crack lung to Acute pulmonary toxicity from crack cocaine

← Older revision	Revision as of 03:20, 22 May 2017
(No difference)

← Older revision		Revision as of 18:47, 24 April 2024
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	*[[Cocaine toxicity]]		*[[Cocaine toxicity]]
	*[[Cocaine withdrawal]]		*[[Cocaine withdrawal]]
			*[[Drugs of abuse]]

	==External Links==		==External Links==